Documents |
|
Adult Psychiatry - Physician Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Adult Psychiatry - Physician Referral Form
|
|
Date:
|
July 17, 2015
|
|
|
|
|
Summary:
|
Adult Psychiatry (Oshawa)- Physician Referral Form
|
|
|
|
|
|
Adult Psychiatry (Ajax Pickering) - Physician Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Adult Psychiatry (Ajax Pickering) - Physician Referral Form
|
|
Date:
|
November 24, 2020
|
|
|
|
|
Summary:
|
Outpatient Mental Health Referral Form - Specific to Ajax Pickering
|
|
|
|
|
|
AMBULATORY Screening for Infection Prevention and Control Respiratory Illness and/or Travel Related Illness
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
AMBULATORY Screening for Infection Prevention and Control Respiratory Illness and/or Travel Related Illness
|
|
Date:
|
September 21, 2021
|
|
|
|
|
Summary:
|
AMBULATORY Screening for Infection Prevention and Control Respiratory Illness and/or Travel Related Illness
|
|
|
|
|
|
Blood Transfusion Fact Sheet Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Blood Transfusion Fact Sheet Form
|
|
Date:
|
September 30, 2019
|
|
|
|
|
Summary:
|
Blood Transfusion Fact Sheet Form
|
|
|
|
|
|
Breast Assessment Referral form, Ajax-Pickering
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Breast Assessment Referral form, Ajax-Pickering
|
|
Date:
|
May 3, 2018
|
|
|
|
|
Summary:
|
1438AP Interventional Breast Procedure Req.
|
|
|
|
|
|
Breast Assessment Referral Form, Oshawa
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Breast Assessment Referral Form, Oshawa
|
|
Date:
|
September 30, 2020
|
|
|
|
|
Summary:
|
This form is for patients being referred to the Breast Assessment Program
|
|
|
|
|
|
Cardiac CT Requisition - Specific to Ajax Pickering
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac CT Requisition - Specific to Ajax Pickering
|
|
Date:
|
October 3, 2017
|
|
|
|
|
Summary:
|
Cardiac CT Requisition 2108AP
|
|
|
|
|
|
Cardiac Diagnostics Referral form (REFAP0010)
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac Diagnostics Referral form (REFAP0010)
|
|
Date:
|
September 21, 2018
|
|
|
|
|
Summary:
|
This two page document is for patients who wish to be referred to the Cardiac Diagnostics Program at the Ajax – Pickering Site for Lakeridge Health
|
|
|
|
|
|
Cardiac Rehabilitation Program referral form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac Rehabilitation Program referral form
|
|
Date:
|
January 11, 2018
|
|
|
|
|
Summary:
|
This one page document is for patients who wish to be referred to the Cardiac Rehabilitation Program at Lakeridge Health
|
|
|
|
|
|
Cardio Respiratory Services Pulmonary Function Requisition
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardio Respiratory Services Pulmonary Function Requisition
|
|
Date:
|
June 19, 2019
|
|
|
|
|
Summary:
|
Cardio Respiratory Services Pulmonary Function Requisition
|
|
|
|
|
